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探索儿童哮喘与异常精子之间的关联:一项孟德尔随机化分析

Exploring the Association between Childhood Asthma and Abnormal Spermatozoa: An Analysis Using Mendelian Randomization.

作者信息

Zhang Qian, Ge Yao, Chen Yuan, Zhang Yun, Xie Xiaoyan, Yu Jian, Bao Yunlei, Jiang Feng, Wu Chuyan

机构信息

Department of Rehabilitation Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Department of Child Health, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

出版信息

Iran J Public Health. 2025 Feb;54(2):361-369.

Abstract

BACKGROUND

Childhood asthma ranks among the prevailing chronic respiratory conditions affecting a significant number of individuals. The long-term hypoxic state and chronic inflammatory state caused by asthma could be linked with spermatozoa apoptosis. However, the correlation between childhood asthma and abnormal spermatozoa is currently unknown.

METHODS

In our study, the method of two-sample Mendelian randomization (2SMR) was used by searching an appropriate European population genome-wide association studies (GWAS) database of childhood asthma and abnormal spermatozoa from the Ieu Open GWAS Project database. Sixteen related single-nucleotide polymorphisms (SNPs) were screened as instrumental variables (IV). Subsequently, we employ various statistical methods including inverse variance weighting (IVW), weighted median method (WME), MR-Egger regression, Simple mode, and Weighted mode to investigate the causal link between childhood asthma and the development of abnormal spermatozoa.

RESULTS

Based on IVW results, childhood asthma is not an independent risk factor for abnormal sperm formation (=0.14). Other statistical models such as WME, MR-Egger regression, Simple mode, and weighted mode also showed the same results. Leave-one-out sensitivity analysis and heterogeneity test were conducted and no horizontal pleiotropy was found.

CONCLUSION

There was no causal relationship between childhood asthma and abnormal spermatozoa formation at the genetic level.

摘要

背景

儿童哮喘是影响众多个体的常见慢性呼吸道疾病之一。哮喘引起的长期缺氧状态和慢性炎症状态可能与精子凋亡有关。然而,目前儿童哮喘与精子异常之间的相关性尚不清楚。

方法

在我们的研究中,通过搜索来自Ieu Open GWAS项目数据库的合适的欧洲人群全基因组关联研究(GWAS)数据库,采用两样本孟德尔随机化(2SMR)方法。筛选出16个相关单核苷酸多态性(SNP)作为工具变量(IV)。随后,我们采用各种统计方法,包括逆方差加权(IVW)、加权中位数法(WME)、MR-Egger回归、简单模式和加权模式,来研究儿童哮喘与精子异常发生之间的因果关系。

结果

基于IVW结果,儿童哮喘不是精子形成异常的独立危险因素(=0.14)。其他统计模型,如WME、MR-Egger回归、简单模式和加权模式,也显示了相同的结果。进行了留一法敏感性分析和异质性检验,未发现水平多效性。

结论

在基因水平上,儿童哮喘与精子异常形成之间不存在因果关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f6/11992920/442861f3ad92/IJPH-54-361-g001.jpg

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